Provider Demographics
NPI:1881628204
Name:FELDMAN, DOREE L (MD)
Entity type:Individual
Prefix:
First Name:DOREE
Middle Name:L
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 ROBERT RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-5343
Mailing Address - Country:US
Mailing Address - Phone:609-613-0813
Mailing Address - Fax:267-295-8208
Practice Address - Street 1:1150 N INDIAN CANYON DR
Practice Address - Street 2:DRMC ANESTHESIA DEPT
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4872
Practice Address - Country:US
Practice Address - Phone:609-613-0813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG88251207L00000X
PAMD055834L207L00000X
NJ25MA05301100207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01697OtherHEALTH PARTNERS
PA30563, 30567OtherHEALTH PARTNERS FF,FB
PA882643OtherHIGHMARK BLUE SHIELD
PA0017433970010Medicaid
PA0029312000OtherKEYSTONE IBC
PA3056444OtherAETNA CONTRACT
PA882643OtherPERSONAL CHOICE
PA30030059OtherKEYSTONE MERCY
PA0017433970008Medicaid
PA0017433970009Medicaid
PAP00290588OtherRAILROAD MEDICARE
PA30030059OtherKEYSTONE MERCY
PA3056444OtherAETNA CONTRACT